LISTA A FAIRCLOTH
Nursing at Viola Dr, Lake Worth, FL

License number
Florida 134187
Issued Date
Oct 26, 1990
Effective Date
Jan 14, 2014
Expiration Date
Dec 31, 2011
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
4331 Viola Dr, Lake Worth, FL 33463
Phone
(561) 502-0898
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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